2007, Number S4
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Arch Cardiol Mex 2007; 77 (S4)
Electrocardiographic diagnosis of the coronary syndromes
Puntunet BML
Language: Spanish
References: 11
Page: 230-234
PDF size: 152.19 Kb.
ABSTRACT
After clinical history, the electrocardiogram (ECG) is the study of greater relevance for diagnose, treatment and pursuit of the patients who undergo some of the presentations of the Acute Coronary Syndrome. The diagnoses sensitivity it is conditional one at the moment in which it is made and by the presence of symptomatology; whereas the foretell value it is support by the type of electrocardiographic alteration, magnitude and location. The objective of the present revision is to analize on one´s infirmary the importance of the valuation of the assessment of the electrocardiogram, that orient to us towards an opportune and truthful planning of the specific cares of the patient with acute coronary syndrome. With which future complications can be limited. The concepts of ischemia, injury and necrosis, as well as electrocardiographic examples of some clinical forms of the ischemic cardiopathy appear.
REFERENCES
Por el Grupo Cooperativo RENASICA. El Registro Nacional de los Síndromes Isquémicos Coronarios Agudos (RENASICA). Sociedad Mexicana de Cardiología. Arch Cardiol Mex 2002; 72: S45-S64.
Yarnella JWG, Patterson CC, Sweetnamb PM, Mahadevan VS, Adgey AAJ: ST depression in ECG at entry indicates severe coronary lesions and large benefits of an early invasive treatment strategy in unstable coronary artery disease- the FRISC II ECG substudy. Eur Heart J 2002; 23: 3-5.
Doukky R, Calvin JE: Risk stratification in patients with unstable angina and non-ST segment elevation myocardial infarction: Evidence-based review. J Invasive Cardiol 2002; 14: 215-220.
Primer Consenso Mexicano Sobre los Síndromes Isquémicos Coronarios Agudos sin Elevación del Segmento ST [Angina inestable e infarto no Q] Cancún, Quintana Roo 15 y 16 de noviembre, 2001. Sociedad Mexicana de Cardiología. Por el Grupo Cooperativo del Consenso[+]. Arch Cardiol Mex 2002; 72: S2: 5-44.
Jerjes SD, Comparan N, Canseco L, Garza R, García S, Reyes C: Marcadores en la estratificación de los síndromes coronarios agudos. Sociedad Mexicana de Cardiología. Arch Cardiol Mex 2006; 76: S2: 241-248.
Hamm CW, Bertrand M, Braunwald E: Acute coronary syndrome without ST elevation: implementation of new guidelines. Lancet 2001; 358: 1533-1538.
Gusto V: Investigators. Reperfusion therapy for acute myocardial infarction with fibrinolytic therapy or combination reduced fibrinolytic therapy and platelet glycoprotein IIb/IIIa inhibitions: the GUSTO V randomized trial. Lancet 2001; 357: 1905-1914.
The GUSTO Investigators. An international randomized trial comparing four thrombolytic strategies for acute myocardial infarction. N Engl J Med 1993; 329: 673-682.
Antman E, Braunwald E: Acute myocardial infarction. Braunwald Heart Disease 5th ed 1997: 1184-1288.
American Heart Association. 2000 handbook of emergency cardiovascular care. AHA USA 2000; 28: 38.
García CA, Jerjes SC, Martínez BP, Azpiri LJR, Autrey CA, Martínez SC, ET AL: RENASCA II. Registro Nacional de los Síndromes Coronarios Agudos II. Arch Cardiol Mex 2005; 75: S18-S30.